Active NPI
Vascular Laboratory of Western New England
- Physiological Laboratory
- Springfield, MA
National Provider Identifier
1922080555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- VASCULAR LABORATORY OF WESTERN NEW ENGLAND
- Practice address
- 3500 Main St
Suite 202
Springfield, MA 01107-1110 - Phone
- (413) 784-0900
- Fax
- (413) 781-5035
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Lawrence Kaufman, M.D.
- Title
- Managing Partner
- Phone
- (413) 784-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
3500 Main St
Suite 202
Springfield, MA 01107-1110
Mailing address
3500 Main St
Suite 202
Springfield, MA 01107-1110
Phone (413) 784-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9784187 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Vascular Services of Western New England PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vascular Surgery Physician
- Springfield, MA
- NPI 1780665505
-
- Vascular Surgery Physician
- Springfield, MA
- NPI 1881615532
Locations
3500 Main St
Ste 202
Springfield, MA 01107
Phone (413) 784-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922080555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 MAIN ST",
"address_2": "SUITE 202",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071110",
"telephone_number": "413-784-0900",
"fax_number": "413-781-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 MAIN ST",
"address_2": "SUITE 202",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071110",
"telephone_number": "413-784-0900",
"fax_number": "413-781-5035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR LABORATORY OF WESTERN NEW ENGLAND",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "413-784-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9784187",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.